Individual provider Active NPI

Michael Jordan Ray, M.D.

  • Vascular & Interventional Radiology Physician
  • Marietta, GA
National Provider Identifier
1245473693
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
77403 Issued in GA
Practice address
790 Church St NE
Ste 400
Marietta, GA 30060-7282
Phone
(678) 581-3830
NPI assigned
Apr 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 077403 GA
Vascular & Interventional Radiology Physician 2085R0204X 77403 GA Primary

Addresses

Primary practice location

790 Church St NE
Ste 400
Marietta, GA 30060-7282

Mailing address

PO Box 3157
Indianapolis, IN 46206-3157
Phone (855) 871-1526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170411001780 GA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9830347954 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Mississippi School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Radiology PCGroup PAC ID 4385543230, 105 clinicians

Practice addresses (Care Compare)

790 Church St NE
Suite 400
Marietta, GA 30060-8957
Phone (770) 952-8899

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
077403GAMDDiagnostic Radiology Physician
77403GAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Imaging of Georgia LLC CurrentSince Apr 1, 2017 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Apr 1, 2017 Accepting new patients
M & B Imaging, PC Diagnostic Radiology CurrentSince Mar 19, 2018 Accepting new patients
Quantum Radiology, PC Diagnostic Radiology CurrentSince Apr 18, 2017 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Jun 26, 2018 Accepting new patients
Wellstar Medical Group, LLC Past Accepting new patients
Wellstar Cardiovascular Medicine, LLC PastSince Apr 18, 2017 Accepting new patients
Synergy Radiology, LLC PastSince Jul 21, 2024 Accepting new patients
Diagnostic Systems Inc Diagnostic Radiology PastSince Jan 1, 2019 Accepting new patients

Locations (25 of 59)

4550 Cobb Parkway North NW
Ste 109
Acworth, GA 30101
Phone (470) 956-0079

5655 Atlanta Hwy
Alpharetta, GA 30004
Phone (770) 691-0819

2450 Old Milton Pkwy
Alpharetta, GA 30009
Phone (470) 267-0360

12460 Crabapple Rd
Alpharetta, GA 30004
Phone (678) 762-0574

3730 Carmia Dr SW
Ste 110
Atlanta, GA 30331
Phone (404) 344-7286

3890 Redwine Rd SW
Ste 104
Atlanta, GA 30331
Phone (404) 629-4700

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1025 E West Connector
Ste 520
Austell, GA 30106
Phone (678) 273-3071

1680 Hospital South Dr
Austell, GA 30106
Phone (678) 945-2100

1625 Hospital North Dr
Austell, GA 30106
Phone (770) 732-6950

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

925 Sanders Rd
Cumming, GA 30041
Phone (404) 567-6500

120 Greystone Power Blvd
Dallas, GA 30157
Phone (470) 267-1540

6001 Professional Pkwy
Douglasville, GA 30134
Phone (404) 274-7335

6002 Professional Pkwy
Ste 260
Douglasville, GA 30134
Phone (470) 644-5411

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

4244 Washington Rd
Evans, GA 30809
Phone (706) 619-1869

307 W Robinson Ave
Grovetown, GA 30813

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

144 Bill Carruth Pkwy
Hiram, GA 30141

148 Bill Carruth Pkwy
Ste LL20
Hiram, GA 30141
Phone (770) 443-7700

1120 Wellstar Way
Holly Springs, GA 30114

3805 Cherokee St NW
Kennesaw, GA 30144
Phone (770) 426-5665

1550 Kennesaw Due West Rd NW
Kennesaw, GA 30152
Phone (770) 423-9525

1180 Ernest W Barrett Pkwy NW
#100
Kennesaw, GA 30144
Phone (770) 644-1274

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1245473693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063157",
            "telephone_number": "855-871-1526",
            "fax_number": "855-277-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE",
            "address_2": "STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607282",
            "telephone_number": "678-581-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "MICHAEL",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "077403",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "77403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.